Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $3,548.13	Professional		$870.96	$1,047.13	$3,548.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,174.90 / $1,445.44	Professional		$1,047.13	$1,174.90	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,348.96	Facility		$645.65	$645.65	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $2,290.87	Professional		$891.25	$1,258.93	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,071.52 / $2,041.74	Professional		$977.24	$1,071.52	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $616.60 / $1,621.81	Facility		$478.63	$616.60	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $2,089.30	Professional		$776.25	$1,148.15	$2,089.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,479.11	Professional		$912.01	$1,148.15	$1,479.11